ED Flow

Question 1

Order of ED flow

Answer 1

Check In & Triage
History & Physical
Differential Diagnosis
Orders & Treatment
Medical Decision Making
Disposition

Question 2

Triage

Answer 2

Initial questioning
Chief complaint obtained
Vital signs collected
LEVEL OF ACUITY OBTAINED

Question 3

History & Physical

Answer 3

Doctor examines pt (physical exam) and asks more in-depth questions (PMHx, SHx, FMHx, etc.). HPI and ROS are important here

Question 4

Differential Diagnosis

Answer 4

Doctor makes suggestions as to what the reasons for the symptoms are

Question 5

Orders & Treatment

Answer 5

Doctor orders tests and decides treatments

Question 6

Medical Decision Making MDM

Answer 6

Doctor makes a decision on the diagnosis

Question 7

Disposition

Answer 7

Where patient goes after visit

Question 8

HPI

Answer 8

History of Present Illness
During the examination, take concise notes. Start with “x y/o (gender) presents with (symptom)”
ONLY PUT HISTORY HERE
This comes first and determines the whole visit

Question 9

ROS

Answer 9

Review of symptoms
Overviews positive and negative symptoms; lacks context, includes all mentioned symptoms in HPI
Should take 1 min

Question 10

Physical exam

Answer 10

Pt gives subjective info; provider gives objective info
Doctor will INSPECT, PALPATE, and AUSCULTATE

Question 11

Critical care

Answer 11

Ask provider how many minutes of critical care time were provided

Question 12

Scribe attestation